TEACHING KIDS SAFETY ON THE FARM: WHAT WORKS

农场教学儿童安全：什么是工作研究将 确定北美地区积极传播的影响 儿童农业任务指南(NAGCAT) 儿童农业伤害率。制定这些指南是为了 协助家长为子女选择适合其年龄的农活 并通过提高认识来促进儿童的农场安全，简单 行为改变和加强成人监督。 使用由Bassett Research实现的基于人口的设计 研究所健康普查‘99,900户有儿童居民或 雇用儿童将被随机分到NAGCAT干预组或 对照组。纽约农业医学与健康中心(NYCAMH) 外展教育人员将走访每个干预农场家庭，以解释， 审查并将NAGCAT指南的副本留给家长或成年人 雇主。两个月后，父母或成年雇主将收到NAGCAT 知识、态度和行为意向调查(NAGCAT KAB)和意愿 开始为期两年的伤害监测。电话监听将是 对于干预农场和对照农场，每两个月进行一次。七 纽约州阿巴拉契亚北部地区的县将包括在内 在这项研究中。 将使用培训干预有效性模型(TIER)来组织 大量修改、干预或混杂的变量可能 影响因变量，即NAGCAT KAB的变化和 儿童农业损伤可能归因于独立的 变量，在家中接受NAGCAT培训。健康普查‘99将提供 关于大量修改变量的信息，但注册调查 将进行更多农场具体信息的收集。分析 技术将包括比较两种干预措施的伤害率 对照组采用单因素方差和泊松回归模型。探索性的 嵌套病例对照研究将比较父母或母亲的NAGCAT KAB得分 受伤儿童(病例)与非受伤儿童之间的成年雇主 (对照)，以确定NAGCAT KAB是否与 处于受伤状态。

The Teaching Kids Safety on the Farm: What Works Study will determine the impact of the active dissemination of the North American Guidelines for Children's Agricultural Tasks (NAGCAT) to farm families on the rates of childhood agricultural injury. These guidelines were developed to assist parents in selecting age- appropriate farm tasks for their children as well as promoting farm safety for children through increased awareness, simple behavioral changes and increased adult supervision. Using a population-based design made possible by the Bassett Research Institute's Health Census '99, 900 farm households with child residents or employing children will be randomized to a NAGCAT intervention group or to a control group. New York Center for Agricultural Medicine and Health (NYCAMH) outreach educators will visit each intervention farm household to explain, review and leave a copy of the NAGCAT guidelines with the parent or adult employer. Two months later, parents or adult employers will receive a NAGCAT knowledge, attitudes and behavioral intention survey (NAGCAT KAB) and will begin a two year period of injury surveillance. Telephone surveillance will be conducted every two months for both intervention and control farms. Seven counties in the northern Appalachia region of New York State will be included in this study. The Training Intervention Effectiveness Model (TIER) will be used to organize the large number of modifying, intervening or confounding variables that may affect the dependent variables, i.e. change in NAGCAT KAB and incidence of childhood agricultural injury potentially attributable to the independent variables, receipt of NAGCAT training at home. Health Census '99 will provide information on a large number of modifying variables, but an enrollment survey will be conducted to collect more farm specific information. Analytic techniques will include comparison of the injury rates between the intervention and control groups using ANOVA and Poisson regression models. An exploratory nested case control study will compare the NAGCAT KAB score of the parent or adult employer between injured children (cases) and non-injured children (controls) in the intervention group to ascertain if NAGCAT KAB is associated with injury status.